Actinotignum schaalii Can Be an Uropathogen of “Culture-Negative” Febrile Urinary Tract Infections in Children with Urinary Tract Abnormalities
Accurate diagnosis and treatment of febrile urinary tract infections (UTI) during childhood are important for the prevention of renal parenchymal damage and functional loss, and detection of underlying diseases related to chronic kidney disease (CKD). Actinotignum schaalii (A. schaalii)-related febr...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2022-09-01
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| Series: | Case Reports in Nephrology and Dialysis |
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| Online Access: | https://www.karger.com/Article/FullText/526398 |
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| author | Mami Washio Nobutaka Harada Daisuke Nishima Megumi Takemoto |
| author_facet | Mami Washio Nobutaka Harada Daisuke Nishima Megumi Takemoto |
| author_sort | Mami Washio |
| collection | DOAJ |
| description | Accurate diagnosis and treatment of febrile urinary tract infections (UTI) during childhood are important for the prevention of renal parenchymal damage and functional loss, and detection of underlying diseases related to chronic kidney disease (CKD). Actinotignum schaalii (A. schaalii)-related febrile UTI in children is rare, and its incidence and risk factors remain unclear. A 3-year-old boy with a history of UTI presented with fever and vomiting. Although the culture of his urine specimen in air was negative, A. schaalii was observed in a 5% carbon dioxide (CO2) culture condition, as well as an anaerobic one. A diagnosis of febrile UTI was made, and he recovered with antibiotic therapy. He was found to have CKD associated with vesicoureteral reflux (VUR) after further investigations. A. schaalii is one of the causative agents of febrile UTI in children with urinary tract abnormalities. Although the culture in the air could show negative results, urine culture in 5% CO2 and anaerobic conditions is useful for diagnosis. Our case is the youngest and the first known case of A. schaalii-related febrile UTI associated with VUR in children. |
| first_indexed | 2024-04-11T07:24:12Z |
| format | Article |
| id | doaj.art-4f51807d771e400189aa31f6c5d539dc |
| institution | Directory Open Access Journal |
| issn | 2296-9705 |
| language | English |
| last_indexed | 2024-04-11T07:24:12Z |
| publishDate | 2022-09-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Nephrology and Dialysis |
| spelling | doaj.art-4f51807d771e400189aa31f6c5d539dc2022-12-22T04:37:07ZengKarger PublishersCase Reports in Nephrology and Dialysis2296-97052022-09-0112315015610.1159/000526398526398Actinotignum schaalii Can Be an Uropathogen of “Culture-Negative” Febrile Urinary Tract Infections in Children with Urinary Tract AbnormalitiesMami WashioNobutaka HaradaDaisuke Nishimahttps://orcid.org/0000-0002-3788-0182Megumi Takemotohttps://orcid.org/0000-0001-7023-5890Accurate diagnosis and treatment of febrile urinary tract infections (UTI) during childhood are important for the prevention of renal parenchymal damage and functional loss, and detection of underlying diseases related to chronic kidney disease (CKD). Actinotignum schaalii (A. schaalii)-related febrile UTI in children is rare, and its incidence and risk factors remain unclear. A 3-year-old boy with a history of UTI presented with fever and vomiting. Although the culture of his urine specimen in air was negative, A. schaalii was observed in a 5% carbon dioxide (CO2) culture condition, as well as an anaerobic one. A diagnosis of febrile UTI was made, and he recovered with antibiotic therapy. He was found to have CKD associated with vesicoureteral reflux (VUR) after further investigations. A. schaalii is one of the causative agents of febrile UTI in children with urinary tract abnormalities. Although the culture in the air could show negative results, urine culture in 5% CO2 and anaerobic conditions is useful for diagnosis. Our case is the youngest and the first known case of A. schaalii-related febrile UTI associated with VUR in children.https://www.karger.com/Article/FullText/526398actinotignum schaalii5% co2 urine cultureenhancecd quantitative urine culturefebrile utivesicoureteral reflux |
| spellingShingle | Mami Washio Nobutaka Harada Daisuke Nishima Megumi Takemoto Actinotignum schaalii Can Be an Uropathogen of “Culture-Negative” Febrile Urinary Tract Infections in Children with Urinary Tract Abnormalities Case Reports in Nephrology and Dialysis actinotignum schaalii 5% co2 urine culture enhancecd quantitative urine culture febrile uti vesicoureteral reflux |
| title | Actinotignum schaalii Can Be an Uropathogen of “Culture-Negative” Febrile Urinary Tract Infections in Children with Urinary Tract Abnormalities |
| title_full | Actinotignum schaalii Can Be an Uropathogen of “Culture-Negative” Febrile Urinary Tract Infections in Children with Urinary Tract Abnormalities |
| title_fullStr | Actinotignum schaalii Can Be an Uropathogen of “Culture-Negative” Febrile Urinary Tract Infections in Children with Urinary Tract Abnormalities |
| title_full_unstemmed | Actinotignum schaalii Can Be an Uropathogen of “Culture-Negative” Febrile Urinary Tract Infections in Children with Urinary Tract Abnormalities |
| title_short | Actinotignum schaalii Can Be an Uropathogen of “Culture-Negative” Febrile Urinary Tract Infections in Children with Urinary Tract Abnormalities |
| title_sort | actinotignum schaalii can be an uropathogen of culture negative febrile urinary tract infections in children with urinary tract abnormalities |
| topic | actinotignum schaalii 5% co2 urine culture enhancecd quantitative urine culture febrile uti vesicoureteral reflux |
| url | https://www.karger.com/Article/FullText/526398 |
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